2016 NYSRA Rehabilitation Summit

September 21st, 2016 Pre-Summit Session

Carrie Painter, MS Jim MacNaughton, MS Arc of Rensselaer County

Background - Arc Day Supports Future – Threats & Opportunities Past - Observations Present Day– Strengths & Weaknesses Organizational Ingredients – Less Stuck?

A Tool

Living Examples; Benefits & Costs

Panel – Examples; Benefits & Costs

Brunswick Center Services

1989: Brunswick Center Day Treatment

1993: Restructuring into 4 team model

1998: Supported work demo

project

2004: Conversion from Day Treatment to Day Hab. First out of home day hab

2011:

Introduction of the Individualized Supports Team

2013: Boutique Model of Services

Number of people served 104

Average Age 50% are aged 50 years old or older.

Physical Support Needs 39% of people require some amount of mobility assistance

Communication 55% of people served have limited communication or are non-verbal

Behavioral support 54% of people supported have some type of behavioral support plan or strategies

Meal time supports 70 people served require some assistance with dining.

# of people served at Brunswick Center 104

# of people in blended services: including some combination of GDH, Supp GDH, SEMP, and/or Comm Hab

16

# of people supported by Individualized Supports Team

20

# of people served in Day Hab from Home arrangement 12

# of community sites regularly supported within traditional team model

50

Community Inclusion Project

1993: 18 people; Workshop Downsizing & Targeted Model

2007: OPTS Funding; switched from

individual to group funding

1995: Added Employment (additional coaches, hybrid supports)

2012: Young Adults; PCP for all; Opened Classes to Public

2000: Stakeholder Feedback & Model Change: Longer days, classes

2014: Conversion to standard DH, CH, SEMP; Workshop Closure I

# of people in Group Day Hab only 26/47%

# of people Community Hab only 6/11%

# of people in GDH and SEMP 15/27%

# of people in Community Hab and SEMP 8/15%

# of people supported with day and SEMP 23/42%

# of people in SGDH 8/15%

Number of people served 55

Age Range 30 and under = 13/24% 30-55 = 25/45% 55+ = 17/31%

Living Arrangements Family = 19/33% CR = 34/62% Independent (ISS)= 3/5%

Weekly Involvement Hours

Individual = 380/58% Group = 274/42%

Weekly PT/FT Hours 2-10 hrs. = 23/42% 10-20 hrs. = 21/38% 20 hrs. + = 11/20%

Heightened Scrutiny – Olmstead, ADA PCP Regulations – HCBS & OPWDD MCO’s - Improving Care/Reducing Cost &

Defining Outcomes

Threats or Opportunities?

Same language 01 to 16: PCP, Discovery, flexible funding sources, community contribution “real life”, etc

…except that 2016 are external directives (heightened scrutiny via CMS/OPWDD; managed care/MCO)

Want to have to?

• Strengths: people are present; full days; “mathematics”

• Weaknesses: : Are we getting stuck by “What” and “How” and losing sight of the “Why” (Our Work’s Mission)?

• How do we get back to the Mission?

• Simon Sinek’s Golden Circle – A Tool

• Not as Stuck?

Mission drives mechanics (Why) Acknowledge compromises (Why) PCP will continually shape services (How) Flexibility is key (How) Mix funding streams for more options (What) Start where people are at (What)

Why: We want people to live “good lives” in communities of mutuality.

How: People’s days are designed with their capacities, interests and passions at the center.

What: We provide day supports using a variety of funding streams.

Heightened Scrutiny PCP Regulations MCO’s Threats or Opportunities?

Death by PPT

Hongwei Zhang, Director of Finance Will Foland MS, Community Inclusion Project Crystal Ladd, Brunswick Center Services Eric Burke, QA

Overview

Questions